| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,436 |
1,907 |
$92K |
| 95951 |
|
282 |
162 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
663 |
469 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
152 |
142 |
$9K |
| 99205 |
Prolong outpt/office vis |
122 |
90 |
$6K |
| 99215 |
Prolong outpt/office vis |
76 |
43 |
$4K |
| 95819 |
|
96 |
89 |
$2K |
| 95816 |
|
43 |
40 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
63 |
$825.06 |
| 99233 |
Prolong inpt eval add15 m |
18 |
13 |
$501.92 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$124.50 |
| 99442 |
|
13 |
13 |
$0.00 |